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NPI Code Detail

MEDICARE: VASCURA CHIROPRACTIC & REHABILITATION CENTER

MEDICARE: VASCURA CHIROPRACTIC & REHABILITATION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center2835OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VA0873801OTHEROHMEDICARE PTAN

General Provider Information

NPI Number : 1871861930
Entity Type Code : Organization
Provider Name (Legal Business Name) : VASCURA CHIROPRACTIC & REHABILITATION CENTER
Provider Business Mailing Address
First Line : 2110 MAPLE AVE
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-2025
Country : US
Telephone Number : 740-455-5555
Fax Number : 740-455-4648
Provider Business Practice Location Address
First Line : 2110 MAPLE AVE
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-2025
Country : US
Telephone Number : 740-455-5555
Fax Number : 740-455-4648
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. DAVID JOHN VASCURA
Credential : D.C.
Telephone Number : 740-455-5555
Provider Enumeration Date : 12/05/2011
Last Update Date : 12/05/2011

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Directions to “VASCURA CHIROPRACTIC & REHABILITATION CENTER ” Practice Location

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